Celina Liehla Goncalves, DPT - Medicare Physical Therapist in Worcester, MA

Celina Liehla Goncalves, DPT is a medicare enrolled "Physical Therapist - Pediatrics" physician in Worcester, Massachusetts. Her current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 441-8052.

Celina Liehla Goncalves is licensed to practice in Massachusetts (license number 25039) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679246110.

Contact Information

Celina Liehla Goncalves, DPT
55 Lake Ave N,
Worcester, MA 01655-0002
(774) 441-8052
(508) 856-4287



Physician's Profile

Full NameCelina Liehla Goncalves
GenderFemale
SpecialityPhysical Therapist - Pediatrics
Location55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679246110
  • Provider Enumeration Date: 07/30/2021
  • Last Update Date: 12/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476951013
  • Enrollment ID: I20211012001178

Medical Identifiers

Medical identifiers for Celina Liehla Goncalves such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679246110NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 25039 (Massachusetts)Secondary
225100000XPhysical Therapist 25039 (Massachusetts)Secondary
2251P0200XPhysical Therapist - Pediatrics 25039 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Celina Liehla Goncalves allows following entities to bill medicare on her behalf.
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Celina Liehla Goncalves is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Celina Liehla Goncalves, DPT
Po Box 415348,
Boston, MA 02241-5348

Ph: (800) 225-8885
Celina Liehla Goncalves, DPT
55 Lake Ave N,
Worcester, MA 01655-0002

Ph: (774) 441-8052

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